Individual
DR. PHONG HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
616 MASSELIN AVE APT 203, LOS ANGELES, CA 90036-3732
(800) 889-4447
Mailing address
PO BOX 950223, LOUISVILLE, KY 40295-0223
(800) 889-4447
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
56352
KY
Other
Enumeration date
06/25/2014
Last updated
03/16/2022
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